Individual
AMY L WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 5TH FLOOR, TAMPA, FL 33606-3603
(813) 259-8700
(813) 250-2101
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME95695
FL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME95695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003677800
—
FL
01
—
14F1C
BLUE CROSS BLUE SHIELD
FL
01
—
HR253Z
MEDICARE
FL
Enumeration date
08/24/2007
Last updated
10/19/2020
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